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1396252490
JOSE JUAN ORTA
KISSIMMEE, FL
NPI
1396252490
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL 28182)
Enumeration Date
2018-01-10
Last Update Date
2018-01-10
Business Address
MR. JOSE JUAN ORTA PTA
1441 FORTUNE ROAD 256
KISSIMMEE, FL 34744
Phone number: 407-870-3948
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Mailing Address
MR. JOSE JUAN ORTA PTA
2221 TRADEWINDS DR
KISSIMMEE, FL 34746-2161
Phone number: 321-402-4029
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